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Artificial Intelligence, specifically advanced language models such as ChatGPT, have the potential to revolutionize various aspects of healthcare, medical education, and research. In this narrative review, we evaluate the myriad applications of ChatGPT in diverse healthcare domains. We discuss its potential role in clinical decision-making, exploring how it can assist physicians by providing rapid, data-driven insights for diagnosis and treatment. We review the benefits of ChatGPT in personalized patient care, particularly in geriatric care, medication management, weight loss and nutrition, and physical activity guidance. We further delve into its potential to enhance medical research, through the analysis of large datasets, and the development of novel methodologies. In the realm of medical education, we investigate the utility of ChatGPT as an information retrieval tool and personalized learning resource for medical students and professionals. There are numerous promising applications of ChatGPT that will likely induce paradigm shifts in healthcare practice, education, and research. The use of ChatGPT may come with several benefits in areas such as clinical decision making, geriatric care, medication management, weight loss and nutrition, physical fitness, scientific research, and medical education. Nevertheless, it is important to note that issues surrounding ethics, data privacy, transparency, inaccuracy, and inadequacy persist. Prior to widespread use in medicine, it is imperative to objectively evaluate the impact of ChatGPT in a real-world setting using a risk-based approach. [ABSTRACT FROM AUTHOR]

To address the second barrier, VHA developed and delivered a 12-h training session on RMH, available virtually to all VHA clinicians. Reproductive mental health needs are prevalent, under-recognized, and under-treated throughout the United States (US).[1] This especially affects the Veterans Health Administration (VHA) as the population of US veterans who are women continues to increase. Learning from the strengths and limitations of these programs and adapting to the needs of VHA, we developed a national RMH Consultation Program to ensure access to RMH expertise across VHA. [Extracted from the article]

Background: Translation science entails application of information gained through scientific research to practices intended to improve prevention and public health. The outreach arm of Land-Grant Universities—the Cooperative Extension System—is uniquely poised to facilitate this translation process and contribute to resolution of current substance misuse and other behavioral health issues. Objective: This paper summarizes selected literatures that guided the conceptualization of a framework for building Extension's capacity to enhance the translation process, in order to better address substance misuse and other behavioral health issues. Method: Peer-reviewed literature was obtained from journals representing varied disciplines including medicine, public health, education, and psychology. Journals for Extension professionals were a prominent source of relevant literature. The literature review informed the identification of relevant practice gaps, barriers in addressing those gaps, and the development of a capacity-building framework. Results: The framework described highlights opportunities for building Cooperative Extension's capacity to address goals in four key domains. These goals include (1) catalyzing Extension's organizational development to support science-driven practices, (2) bolstering prevention and behavioral health-oriented professional development for Extension faculty and staff, (3) creating a stronger culture of behavioral health in Extension, and (4) strengthening Extension's financing of prevention-oriented behavioral health efforts. Conclusion: Addressing the capacity-related goals identified in this paper could be a major catalyst for enhancing the power of proven, prevention-oriented behavioral health and, thereby, the well-being of our families, communities and nation. [ABSTRACT FROM AUTHOR]

Buddha lived 2600 years ago in Northern India, and his teachings were established in Sri Lanka in the third-century BC. In the nineteenth century, the British established the modern mental health services in Sri Lanka. This article aimed to highlight the association between Western psychotherapeutic techniques with Buddhist teachings and the relevance of this confluence to the mental health care in the country. Many schools of Western psychotherapy employ principles which are also described in Buddhist philosophy. Understanding this connection helps to deliver a culturally acceptable and relevant mental health care to the Sri Lankan population. [ABSTRACT FROM AUTHOR]

An introduction to the Special Section Mental Health, The Mind and Consciousness: Tibetan and Western Approaches, published in this issue is presented.

This article presents an analysis of the way in which rlung ("wind, breath") functions as a mode of explanation for what Western medicine regards as "psychiatric" illness, based on field research on the topic of mental health, illness, and healing conducted within a Tibetan population in Darjeeling, northeast India. The article explores this notion of rlung and its relationship to body and mind, in order to examine its role in the causation and treatment of various forms of "mental illness", before analysing some similarities and differences between rlung-related categories and biomedical classifications of mental illness. [ABSTRACT FROM AUTHOR]

Religious-spiritual (R/S) education helps medical students cope with caregiving stress and gain skills in interpersonal empathy needed for clinical care. Such R/S education has been introduced into K-12 and college curricula in some developed nations and has been found to positively impact student’s mental health. Such a move has not yet been seen in the Indian education system. This paper aimed to examine perspectives of teachers and parents in India on appropriateness, benefits, and challenges of including R/S education into the school curriculum and also to gather their impressions on how a R/S curriculum might promote students’ health. A cross-sectional study of religiously stratified sample of teachers and parents was initiated in three preselected schools in India and the required sample size (N = 300) was reached through snowballing technique. A semi-structured questionnaire, with questions crafted from “Religion and Spirituality in Medicine, Physicians Perspective” (RSMPP) and “American Academy of Religion’s (AAR) Guidelines for Religious Literacy,” was used to determine participants’ perspectives. Findings revealed that teachers’ and parents’ “comfort in integrating R/S into school curriculum” was associated with their gender (OR 1.68), education status (OR 1.05), and intrinsic religiosity (OR 1.05). Intrinsic religiosity was significantly (p = 0.025) high among parents while “intrinsic spirituality” was high (p = 0.020) among teachers. How participants’ R/S characteristics influence their support of R/S education in school is discussed. In conclusion, participants believe R/S education will fosters students’ emotional health and interpersonal skills needed for social leadership. A curriculum that incorporates R/S education, which is based on AAR guidelines and clinically validated interpersonal spiritual care tools would be acceptable to both teachers and parents. [ABSTRACT FROM AUTHOR]

Implementing evidence-based practices is becoming both a goal and standard across medicine, psychology, and education. Initial successes, however, are now leading to questions about how successful demonstrations may be expanded to scales of social importance. In this paper, we review lessons learned about scaling up evidence-based practices gleaned from our experience implementing school-wide positive behavioral interventions and supports (PBIS) across more than 23,000 schools in the USA. We draw heavily from the work of Flay et al. (Prev Sci 6:151-175, 2005. doi: 10.1007/s11121-005-5553-y ) related to defining evidence-based practices, the significant contributions from the emerging "implementation science" movement (Fixsen et al. in Implementation research: a synthesis of the literature, University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231), Tampa 2005), and guidance we have received from teachers, family members, students, and administrators who have adopted PBIS. [ABSTRACT FROM AUTHOR]

Background: Broad consensus supports the use of primary care to address unmet need for mental health treatment.Objective: To better understand whether primary care filled the gap when individuals were unable to access specialty mental health care.Design: 2018 mixed methods study with a national US internet survey (completion rate 66%) and follow-up interviews.Participants: Privately insured English-speaking adults ages 18-64 reporting serious psychological distress that used an outpatient mental health provider in the last year or attempted to use a mental health provider but did not ultimately use specialty services (N = 428). Follow-up interviews were conducted with 30 survey respondents.Main Measures: Whether survey respondents obtained mental health care from their primary care provider (PCP), and if so, the rating of that care on a 1 to 10 scale, with ratings of 9 or 10 considered highly rated. Interviews explored patient-reported barriers and facilitators to engagement and satisfaction with care provided by PCPs.Key Results: Of the 22% that reported they tried to but did not access specialty mental health care, 53% reported receiving mental health care from a PCP. Respondents receiving care only from their PCP were less likely to rate their PCP care highly (21% versus 48%; p = 0.01). Interviewees reported experiences with PCP-provided mental health care related to three major themes: PCP engagement, relationship with the PCP, and PCP role.Conclusions: Primary care is partially filling the gap for mental health treatment when specialty care is not available. Patient experiences reinforce the need for screening and follow-up in primary care, clinician training, and referral to a trusted specialty consultant when needed. [ABSTRACT FROM AUTHOR]

Purpose: The interaction between physical and mental health is complex. In this paper we aim to provide an overview of the main components of this relationship and to identify how care could be improved for people with co-morbidities. Methods: We performed a literature search of MedLine, Ovid and Psycinfo and identified studies that examined the association between mental illness and physical illness. We also examined the key policy documents and guidelines in this area. Results: People with mental health conditions are at higher risk of developing physical illness, have those conditions diagnosed later and have much higher mortality rates. Conversely, people with a diagnosis of physical illness, especially cardiovascular disease, diabetes and cancer have a greater chance of developing a mental health problem. When both mental and physical illnesses conditions are present together, there are higher overall rates of morbidity, healthcare utilisation, and poorer quality of life. Conclusions: Physicians and psychiatrists need to be aware of the co-occurrence of mental and physical health problems and the challenges posed for both general and mental health services. There is a need to screen appropriately in both settings to ensure timely diagnosis and treatment. Liaison psychiatry provides psychological assessment and treatment for people with physical illness, but there is a gap in the provision of physical healthcare for people with severe mental illness. There is a need for public policy to drive this forward to overcome the institutional barriers to equitable access to healthcare and for educators to reverse the tendency to teach mind and body as separate systems. [ABSTRACT FROM AUTHOR]

Previous studies show that supervisors' autonomy-supportive style predicts greater psychological health (Baard et al. in J Appl Soc Psychol 34:2045-2068, ; Blais and Brière ; Lynch et al. in Prof Psychol Res Pract 36:415-425, ) and lower psychological distress (Deci et al. in Personal Soc Psychol Bull 27:930-942, ). The goal of the present study is to extend these results and investigate the contribution of colleagues' perceived autonomy support in the prediction of health professionals' work satisfaction and psychological health. The combined impact of supervisors' and colleagues' perceived autonomy support is also examined. A sample of 597 health professionals from the province of Quebec (Canada) completed a questionnaire, which included measures of perceived supervisors' and colleagues' autonomy support and outcome variables. Results confirm that supervisors' and colleagues' perceived autonomy support predict health professionals' work satisfaction and psychological health. Results also show that colleagues' perceived autonomy support adds to the prediction of health professionals' work satisfaction, subjective well-being, and suicidal ideation above and beyond supervisors' perceived autonomy support. [ABSTRACT FROM AUTHOR]

This article argues that traditional models of diagnosis are incomplete in their reliance on a models of certainty that are no longer tenable in a postmodern world. Further, it argues that the current form of diagnosis, as applied to psychiatric and affective disorders, reduces patient agency and reinscribes the effects of biopower. [ABSTRACT FROM AUTHOR]

Advance directives are legal documents that formalize consumer psychiatric care preferences. This article examines the statutes and goals of US psychiatric advance directives within the framework of consumer self-determination, a priority in national mental health reform. It seeks to distinguish between state models based on the degree that consumer rights are integrated into advance directive statutes and goals. The data set contains information from legislative statutes and goals from the 24 US states that enacted explicit psychiatric advance directive regulations prior to 2006. Researchers grouped the data into categories based on the similarities in consumer self-determination. The findings include an examination of the spectrum of consumer self-determination in US advance directive statutes along with a comparison of the gaps between intent and policy in state statutes. [ABSTRACT FROM AUTHOR]

Over the course of welfare reform, behavioral health problems have emerged as significant issues. Welfare time limits have added urgency to recipients' efforts to obtain economic self-sufficiency and have raised new concerns about mental health and substance abuse problems as barriers to work. However, there is limited research on how behavioral health problems operate to impede the employability of welfare recipients. This analysis draws on data from a 6-year panel study of welfare recipients (n = 341) to examine how a broad spectrum of mental health and substance abuse problems impact efforts to obtain work while on aid and subsequent transitions from welfare to work. Recipients who reported symptoms of depression at baseline were less likely to actively search for work while on aid compared to others. However, they were no less likely to leave welfare for work within a 2-year time frame. In contrast, other problems - including hostility, interpersonal sensitivity, psychoticism, and heavy drug use - had significant effects on work exits from welfare but little association with job search activities. Overall, these results suggest that behavioral health problems do not operate in the same manner to inhibit transitions from welfare to work. Welfare-to-work programs should direct interventions towards the unique constellations of problems that recipients face. [ABSTRACT FROM AUTHOR]

The article focuses on the discussion of sociologist Frank Ferudi regarding medicalization. The author reflects that the term was used to describe the process of medical label application and phenomena. He said that the term was confusingly used for it sometimes referred to misapplication of medical terms in moral, social or political phenomena and biological or mental health. Although Furedi had provided examples of medicalization in present day situation, it was not enough and could have gone further by citing changes on genetics and reproductive technology.

This article highlights and summarizes efforts that have been made primarily during the past 20 years to bring the significance of relational diagnosis to the attention of the entire mental health community, and either (1) to have dysfunctional relational interactive patterns classified and codified and accepted for inclusion in the Diagnostic and Statistical Manual of Mental Disorders, or (2) if this is not feasible, to have a nosology of relational diagnoses, which have been clearly defined with accompanying risks specified for mental illnesses that might develop, and criteria sets delineated and adequately field tested to warrant and lead to publication of a separate but equal Diagnostic Manual of Relational Disorders and Dysfunctional Interactional Patterns. [ABSTRACT FROM AUTHOR]

This paper presents a case for careful consideration of theory in planning to implement evidence-based practices into clinical care. As described, theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. Strategies should be linked to specific interventions and/or intervention components to be implemented, and the choice of tools should match the interventions and overall strategy, linking back to the original theory and framework. The thesis advanced is that in most studies where there is an attempt to implement planned change in clinical processes, theory is used loosely. An example of linking theory to intervention design is presented from a Mental Health Quality Enhancement Research Initiative effort to increase appropriate use of antipsychotic medication among patients with schizophrenia in the Veterans Health Administration. [ABSTRACT FROM AUTHOR]

Neonatal physeal fracture of the distal femur is often difficult to diagnose. Timely and accurate diagnosis and appropriate therapy are critical in order to avoid permanent morbidity and dysfunction of the affected limb. We describe an infant in whom closed reduction and pinning were required in order to assure a good outcome.Journal of Perinatology (2005) 25, 216-219. doi:10.1038/sj.jp.7211227 Published online 2 December 2004 [ABSTRACT FROM AUTHOR]

This article discusses the content of the book "PC, M.D.," which focuses on politically correct (PC) medicine. Chapter 1 examines the philosophy of PC medicine where it is forcefully articulated in schools of public health. Chapter 2 describes the reforms demanded by a group of people known as the last minority who are composed of former psychiatric patients who once used mental health services. Chapter 3 focuses on nurses who are oppressed. Chapter 4 focuses on women who claim mistreatment at the hands of male-oriented society. The final chapter explores the world of psychotherapy for victims.

Presents a framework for categorizing pediatric psychology research into practice and service system outcomes and functioning. The questions of importance are (a) who is being served, (b) what services are provided, (c) how treatments are implemented, (d) how services are organized and staffed, (e) what are the outcomes of the services, (f) how do various consumers perceive services, (g) how services are reimbursed, and (h) what are alternatives and innovations? The framework of program evaluation is detailed for domains most germane to service delivery in pediatric/child health psychology. Such domains include diagnostic information on patients, types of intervention, behavioral/psychological outcome variables, costs of treatments, service system functioning, and perceptions of satisfaction from multiple sources. This framework may be useful in directing future research on the delivery of services in pediatric psychology settings, thereby adding to the value of the field. [ABSTRACT FROM AUTHOR]

Limb reconstruction is an orthopaedic surgical technique designed to restore or improve functioning and appearance. The aims of the present study were to investigate levels of psychological distress in adults undergoing limb reconstruction as a result of traumatic injury, to examine which variables could account for any variations in distress during and after treatment, and to ascertain the potential relevance of psychological interventions. A cross-sectional sample of patients completed measures of psychological distress, posttraumatic symptomatology, coping, social support, pain, and disability. Self-reported levels of psychological distress and posttraumatic symptoms were high but did not tend to vary across stage of treatment, suggesting that distress is not solely attributable to limb reconstruction treatment per se but to other factors. Both medical variables (pain and mobility) and psychological variables (symptoms of trauma and coping strategies) accounted for a significant percentage of the variance in HAD scores. These results suggest that both medical and psychological interventions have potential for reducing distress and increasing well-being in an orthopaedic population who are experiencing high levels of emotional distress. [ABSTRACT FROM AUTHOR]

The wall of separation between spirituality and medicine is crumbling. Physicians are discovering the importance of prayer, spirituality, and religious participation in enhancing physical and mental health and responding to stressful life circumstances. A new metaphysical model is needed to replace the dualistic Cartesian-Newtonian model that has undergirded modern biomedicine. The process-relational metaphysics, influenced by the seminal thought of Alfred North Whitehead, is a fruitful alternative model for the future partnership of spirituality and medicine. A process-relational metaphysic supports this new partnership through its affirmation of (1) the relational nature of life, (2) the essential relatedness of mind, body, and spirit, (3) the multifactorial nature of causation in terms of health and illness, and (4) the affirmation of creativity and the redefinition of divine and human power in terms of partnership. This new metaphysical foundation provides a basis for including spiritual concerns in the care of patients, the education of physicians, and in professional self-care. Physicians are called to be partners with their patients, nurturing their own spiritual well-being even as they care for the spiritual well-being of their patients. [ABSTRACT FROM AUTHOR]

We investigated the clinical characteristics and placement decisions among a group of children who were wards of the state and had been evaluated for a crisis assessment. The sample consisted of 383 children and adolescents (ages 2-20 years) who were wards of the Illinois Department of Children and Family Services (DCFS). This study retrospectively reviewed the symptoms, risk factors, functioning and co-morbid variables, and placement or system characteristics of these children using a structured assessment tool, the Childhood Severity of Psychiatric Illness (CSPI). Results indicated that risk behaviors as rated on the CSPI, including suicidality, dangerousness, and runaway tendency, were significant predictors of psychiatric hospitalization. The importance of more widespread usage of standardized assessment tools in evaluating children's mental health needs is discussed. [ABSTRACT FROM AUTHOR]

An introduction to the Special Section Mental Health, The Mind and Consciousness: Tibetan and Western Approaches, published in this issue is presented.

Presents a list of books received which explore the topics of culture, medicine and psychiatry.

Presents a list of books received which explore the topics of culture, medicine and psychiatry.

Presents a list of books received which explore the topics of culture, medicine and psychiatry.

Presents a list of books received which explore the topics of culture, medicine and psychiatry.

Provides information on congresses on biological, child and adolescent psychiatry until October 2004.