Abstract: Objective: To test the feasibility and efficacy of a psychosocial intervention to address high-risk substance use in patients scheduled for elective surgery.Method: A group-format intervention, based in motivational interviewing principles, was provided prior to elective surgery to 107 participants with at-risk substance use, identified using the AUDIT-C and self-report of illicit drug use. Patient satisfaction was assessed with an anonymous survey. Within-subject comparisons of substance use at baseline and at a postoperative follow-up evaluation were conducted
We read the work done by Huang et al with great interest, the fact that the results of clinical studies evaluating Antidepressant exposure in the prenatal period and the risk of preterm birth and low birth weight has yielded conflicting results attracted us this work. The analysis by Huang et al which was conducted with an objective to resolve this disagreement provides substantial evidence favouring the higher risk of adverse outcomes with the use of antidepressants during pregnancy. The search strategy, moderator analysis, sensitivity analysis and the assessment of publication bias using trim and fill method performed by the authors are praiseworthy.
Abstract: Objective: Influenza epidemics can have consequences in terms of morbidity and mortality for the patients. This work assesses influenza outbreaks in order to validate and optimize alert and control measures in a psychiatric hospital.Method: The prospective monitoring of influenza episodes was conducted for 8 years in 19 units of a mental health hospital. Rapid influenza diagnostic tests were used.
Abstract: Objective: This manuscript reviews the work on uptake and dissemination of health information technologies in mental health populations and settings, with the goal of informing the future research agenda.Methods: We reviewed both the formal and “grey” literature describing the rates and correlates of uptake for electronic health records (EHRs) and personal health records (PHRs) for general and specialty mental health settings.Results: Rates of uptake and use of EHRs and PHRs are low in general medical settings, and the limited evidence suggests even lower rates for specialty mental health settings. Many of the patient, provider and system-level characteristics associated with lower rates of use in general populations would be expected to be exacerbated in mental health settings.Conclusions: The findings suggest a need to better understand both the causes and strategies for overcoming barriers to uptake of health information technology (HIT) in mental health settings.
Director’s Blog One of the most influential trials in cardiology over the past 25 years was the GISSI 1 study, which demonstrated the beneficial effects of administering a medication called streptokinase after a heart attack. 2 GISSI involved more than 11, 000 patients in 176 coronary care units over 17 months. Its total cost was less than $500, 000.
Abstract: Objective: The objective was to explore perspectives on reasons for psychotropic medication use in prisons.Method: We recruited a purposive sample of healthcare staff and patients prescribed psychotropic medicines from four East of England prisons. Participants took part in qualitative, semistructured interviews, which were recorded, transcribed and analyzed thematically.Results: While patients and healthcare staff viewed psychotropic medicines primarily as a treatment for reducing symptoms of mental illness, they were also used as a coping strategy and to reduce insomnia. Appropriate psychotropic prescribing was also thought to contribute towards the rehabilitation agenda and helped to maintain order in prisons.
Director’s Blog In 2007, Caryn James wrote in The New York Times that “autism has become to disorders what Africa is to social issues.” 1 This statement was intended to emphasize the emerging public recognition of autism during the preceding decade. But it was also a prescient comparison, for in the years since 2007, autism and Africa have become highly contentious topics with emerging movements that have polarized those involved and confused the broader public.