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1.
Pan Afr Med J ; 40: 49, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34795829

RESUMEN

INTRODUCTION: despite the adoption of mental disorders act in 1972, the use of required mental health care act (MHCA) forms during admission of patients with mental illnesses remained below the legal expectation in the Maun District Hospital. This study audited Letsholathebe II Memorial Hospital (LIIMH) professionals´ usage of MHCA forms. METHODS: this was a quasi-experimental study that audited files of patients admitted with mental illnesses, before, three and six months after a continuing medical education (CME). Cochran Q, McNemar symmetry Chi-square were used for comparison of performance. RESULTS: of the 239 eligible files, we accessed 235 (98.3%). About two in ten (n=36/235, 15.3%) MHCA forms were not used in combination with required forms. The quasi-majority of MHCA forms set used, aligned with involuntary admission (n=134/137, 97.8%). Required admission MHCA forms significantly increased from nil before continuing medical education (CME-0), to 64.6% (n=51/79) at CME-3 and 77% (n=59/77) at CME-6 (p<0.001). However, there was no statistical difference between the last two periods (64.6% vs 77%, p=0.164). Voluntary admission remained below 13% (n=10/79). Only six types of MHCA forms were used during this study. CONCLUSION: there was no adequate use of required MHCA forms at LIIMH before CME. Thereafter, the proportion of adequate use increased from period CME-0 to the periods CME-3 and CME-6. However, there was no difference in proportion between the last two periods. We recommend an effective and regular CME twice a year for health professionals on selected MHCA forms.


Asunto(s)
Educación Continua/métodos , Trastornos Mentales/terapia , Admisión del Paciente/normas , Atención Primaria de Salud/métodos , Adolescente , Adulto , Botswana , Femenino , Formularios como Asunto , Personal de Salud/educación , Personal de Salud/normas , Hospitales/normas , Humanos , Masculino , Auditoría Médica , Admisión del Paciente/legislación & jurisprudencia , Atención Primaria de Salud/legislación & jurisprudencia , Adulto Joven
2.
Psychiatr Pol ; 55(3): 585-598, 2021 Jun 30.
Artículo en Inglés, Polaco | MEDLINE | ID: mdl-34460883

RESUMEN

Within the scope of mental health protection, numerous practical problems arise concerning the issue of providing health services to a minor. Admission of a minor to a psychiatric hospital is associated in practice with numerous doubts. This part of the article describes the conditions of admission to hospital with the consent of the patient. It distinguishes and accurately describes situations where a minor is under or over 16 years of age. In addition, it explains situations where there is a contradiction of declarations of will by legal guardians in relation to admission, their inability to perform legal acts, or a contradiction of the statements of the minor and guardian. It also addresses the aspect of receiving written consent during the COVID-19 epidemic.


Asunto(s)
Internamiento Obligatorio del Enfermo Mental/legislación & jurisprudencia , Consentimiento Informado/legislación & jurisprudencia , Tutores Legales/legislación & jurisprudencia , Menores/legislación & jurisprudencia , Admisión del Paciente/legislación & jurisprudencia , Adolescente , COVID-19/epidemiología , Hospitales Psiquiátricos/legislación & jurisprudencia , Humanos , Trastornos Mentales/terapia , Polonia
3.
Psychiatr Danub ; 32(Suppl 4): 491-495, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33212454

RESUMEN

Social and clinical determinants of 30 compulsory admissions (CAs) to a psychiatric ward during a six-month period were compared to 134 voluntary admissions (VAs), and outcomes of hospitalisation were assessed in relation to its types. Psychosocial and clinical characteristics at admission and discharge were measured using 5 scales. Unemployment, hospitalisations >7 days and continuing hospitalisation in Community Mental Health Centres were positively associated with CA. At admission, CAs showed lower functioning, while outcome at discharge was similar. Social determinants had a main role in determining CAs. Clinical and psychosocial outcomes might have been improved by a mental health system community-based.


Asunto(s)
Internamiento Obligatorio del Enfermo Mental , Trastornos Mentales/terapia , Salud Mental , Admisión del Paciente , Adolescente , Adulto , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Admisión del Paciente/legislación & jurisprudencia , Adulto Joven
5.
Laeknabladid ; 105(10): 435-441, 2019.
Artículo en Islandés | MEDLINE | ID: mdl-31571606

RESUMEN

INTRODUCTION: Many factors influence the nursing needs and survival of nursing home residents, including the admission criteria. The aim of the study was to compare health, survival and predictors for one- and two-year survival of people entering Icelandic nursing homes between 2003-2007 and 2008-2014. MATERIAL AND METHODS: Retrospective, descriptive, comparative study. The data was obtained from a Directorate of Health database for all interRAI assessments of Icelandic nursing homes from January 1, 2003, to December 31, 2014 (N = 8487). RESULTS: There was a significant difference in the health and survival of new nursing home residents before and after December 31, 2007. In the latter period, the mean age was 82.7 years. In the previous period, it was 82.1 years, and the prevalence of Alzheimer's disease, ischemic heart disease, heart failure, diabetes and COPD increased between the periods. One-year survival decreased from 73.4% to 66.5%, and two-year survival decreased from 56.9% to 49.1%. The strongest mortality risk factors were heart failure and chronic obstructive pulmonary disease, as well as high scores on the CHESS scale and ADL long scale. CONCLUSION: After 2007, new residents were older, in poorer health, and their life expectancy was shorter than for those moving to nursing homes before that. The results suggest that the aim of the regulatory change was achieved, i.e., to prioritise those in worst health. Their care needs may therefore be different and greater than before.


Asunto(s)
Hogares para Ancianos/tendencias , Esperanza de Vida/tendencias , Casas de Salud/tendencias , Admisión del Paciente/tendencias , Formulación de Políticas , Anciano de 80 o más Años , Causas de Muerte , Bases de Datos Factuales , Femenino , Evaluación Geriátrica , Hogares para Ancianos/legislación & jurisprudencia , Humanos , Islandia , Masculino , Casas de Salud/legislación & jurisprudencia , Admisión del Paciente/legislación & jurisprudencia , Pronóstico , Estudios Retrospectivos , Factores de Riesgo , Factores de Tiempo
6.
Asian J Psychiatr ; 44: 25-28, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31302439

RESUMEN

The Mental Healthcare Act 2017 replaced the Mental Health Act 1987, subsequent to India's ratification of the United Nations Convention on the Rights of Persons with Disabilities in 2007. The Mental Healthcare Act (MHCA) 2017 upholds patient autonomy, dignity, rights and choices during mental healthcare and thus marks a bold step in India's mental health legislation. This new Law marks a major shift in the way mental healthcare is delivered, as it aims to protect and promote the rights of people during the delivery of mental healthcare. Within this Act, a capacitous individual cannot be coerced into receiving treatment for mental illness and inpatient admissions can be 'independent' or 'supported'. 'Supported admission' replaces involuntary admission from the previous legislation. State mental health authorities and mental health review boards will play a major role in the implementation of the new Act. The Mental Healthcare Act 2017 is aimed at bringing about radical transformation to mental healthcare in India.


Asunto(s)
Legislación Médica , Salud Mental/legislación & jurisprudencia , Admisión del Paciente/legislación & jurisprudencia , Psiquiatría/legislación & jurisprudencia , Humanos , India
7.
PLoS One ; 14(6): e0217113, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31211788

RESUMEN

BACKGROUND: Physician Orders for Life-Sustaining Treatment (POLST) programs have expanded rapidly, but evaluating their impact on hospital care is challenging. OBJECTIVES: To demonstrate how careful study design can reveal POLST's impact at hospital admission and why analyses of state registry data are unlikely to capture POLST's effects. DESIGN: Prospective cohort study. SETTING AND PARTICIPANTS: Adult in-patients with Do Not Intubate and/or Do Not Resuscitate (DNR/I) orders in the electronic medical record at the time of discharge from Johns Hopkins Hospital over 18 months. For patients with unplanned readmissions within 30 days, records were reviewed to determine if a Maryland Medical Order for Life-Sustaining Treatment (MOLST) form was presented and for the time from readmission to a DNR/I order in the EMR. Analyses were stratified by whether patients could communicate or were accompanied by a proxy at readmission. RESULTS: Among 1,507 patients with DNR/I orders at discharge, 124 (8%) had unplanned readmissions, 112 (90%) could communicate or were accompanied by a proxy at readmission, and 12 (10%) could not communicate and were unaccompanied. For patients who were unaccompanied and could not communicate, MOLST significantly decreased the median time from readmission to DNR/I order (1.2 vs 27.1 hours, P = .001), but this association was greatly attenuated among patients who could communicate or were accompanied by a proxy (16.4 vs 25.4 hours P = .10). CONCLUSION: Among patients who wanted to avoid intubation and/or CPR, MOLST forms were protective when the patient was unaccompanied by a healthcare proxy at admission and could not communicate. Fewer than 10% of patients met these criteria during unplanned readmissions, and state registry data does not allow this sub-population to be identified.


Asunto(s)
Atención al Paciente , Médicos , Órdenes de Resucitación , Anciano , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Admisión del Paciente/legislación & jurisprudencia , Admisión del Paciente/estadística & datos numéricos
8.
Eur J Health Law ; 26(3): 205-220, 2019 06 19.
Artículo en Inglés | MEDLINE | ID: mdl-31220808

RESUMEN

The current statutory framework in Ireland provides certain key safeguards for people who are admitted involuntarily for mental health treatment and care; the same legislation makes scant reference to the person who seeks treatment and care on a voluntary basis. This has led to concerns in relation to deprivation of liberty and to non-consensual medical treatment for these patients. This article seeks to examine the development of the law in relation to voluntary patients in Ireland and to assess in light of recent developments where Ireland now stands in terms of protecting the right of the voluntary patient to liberty.


Asunto(s)
Internamiento Obligatorio del Enfermo Mental/legislación & jurisprudencia , Consentimiento Informado/legislación & jurisprudencia , Competencia Mental/legislación & jurisprudencia , Salud Mental/legislación & jurisprudencia , Admisión del Paciente/legislación & jurisprudencia , Derechos del Paciente/legislación & jurisprudencia , Libertad , Humanos , Irlanda , Admisión del Paciente/tendencias
9.
Eur Psychiatry ; 59: 70-76, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31079010

RESUMEN

BACKGROUND: Involuntary admission (IA) for psychiatric treatment has a history of controversial discussions. We aimed to describe characteristics of a cohort of involuntarily compared to voluntarily admitted patients regarding clinical and socio-demographic characteristics before and after implementation of the new legislation. METHODS: In this observational cohort study, routine data of 15'125 patients who were admitted to the University Hospital of Psychiatry Zurich between 2008 and 2016 were analyzed using a series of generalized estimating equations. RESULTS: At least one IA occurred in 4'560 patients (30.1%). Of the 31'508 admissions 8'843 (28.1%) were involuntary. In the final multivariable model, being a tourist (OR = 3.5) or an asylum seeker (OR = 2.3), having a schizophrenic disorder (OR = 2.1), or a bipolar disorder (OR = 1.8) contributed most to our model. Male gender, higher age, prescription of neuroleptics (all OR < 2.0) as well as having a depressive disorder, prescription of psychotherapy, prescription of antidepressants and admission after implementation of the new legislation (all OR > 0.6) were also weakly associated with IA. CONCLUSIONS: Besides schizophrenic or bipolar disorders, a small group of patients had an increased risk for IA due to non-clinical parameters (i.e. tourists and asylum seekers). Knowledge about risk factors should be used for the development of multi-level strategies to prevent frequent (involuntary) hospitalizations in patients at risk. On the organizational level, we could show that the new legislation decreased the risk for IA, and therefore may have succeeded in strengthening patient autonomy.


Asunto(s)
Internamiento Obligatorio del Enfermo Mental/legislación & jurisprudencia , Trastornos Mentales/terapia , Admisión del Paciente/legislación & jurisprudencia , Adulto , Trastorno Bipolar/terapia , Estudios de Cohortes , Femenino , Hospitalización/legislación & jurisprudencia , Hospitales Psiquiátricos/legislación & jurisprudencia , Humanos , Masculino , Persona de Mediana Edad , Admisión del Paciente/estadística & datos numéricos , Factores de Riesgo , Esquizofrenia/terapia , Suiza
11.
J Gerontol Nurs ; 45(3): 7-11, 2019 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-30789984

RESUMEN

The CARE Act, law in 40 states and territories in the United States, requires hospitals to identify and include family caregivers during admission and in preparation for discharge. Although the number of family caregivers has been steadily increasing, health care providers are ill-prepared to address their needs, and caregiving remains a neglected topic in health care providers' education. A market analysis was performed to explore the availability of and interest in interprofessional courses and programs focused on preparing health professionals to support family caregivers. Although nurses and chief nursing officers agreed on the importance of supporting caregivers, they were less likely to endorse formal educational preparation for this complex role. The current study elucidates a gap between what caregivers report they need and the preparation of health care professionals to advance family-centered approaches to care. [Journal of Gerontological Nursing, 45(3), 7-11.].


Asunto(s)
Cuidadores/educación , Cuidadores/legislación & jurisprudencia , Personal de Salud/educación , Admisión del Paciente/legislación & jurisprudencia , Admisión del Paciente/normas , Alta del Paciente/legislación & jurisprudencia , Alta del Paciente/normas , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos
12.
PLoS One ; 13(10): e0197639, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30321176

RESUMEN

Concern about mental health issues and the treatment of mentally disordered offenders attracts considerable public attention. This study aimed to gather the experiences and opinions of people who have experienced admission to a psychiatric ward in order to grasp their reaction to, and understanding of, the legislation behind the involuntary admission of psychiatric patients. A web-based questionnaire survey was conducted with a total of 379 participants, using a cross-sectional, exploratory design. The data were analyzed using a chi-squared test, Fisher's exact test, and a logistic regression analysis. According to the results, many patients were satisfied with their treatment during psychiatric admission; however, only few participants said that they had been given an adequate explanation for their involuntary treatment. Most participants expected qualified assistance after discharge, although the prospect of a regular visit from an official was not entirely supported by the participants. Patient satisfaction was relevant to the discussion of their needs after discharge and in developing a crisis plan during admission. These findings suggest that psychiatric patients accept inpatient treatment as long as they receive an adequate explanation. More qualified care such as relapse prevention would be expected to lead to better satisfaction. For them to welcome regular visits from an official, patients may need more information and discussion.


Asunto(s)
Hospitales Psiquiátricos , Pacientes Internos , Trastornos Mentales/terapia , Servicios de Salud Mental , Satisfacción del Paciente , Estudios Transversales , Hospitales Psiquiátricos/legislación & jurisprudencia , Humanos , Pacientes Internos/legislación & jurisprudencia , Internet , Japón , Servicios de Salud Mental/legislación & jurisprudencia , Admisión del Paciente/legislación & jurisprudencia , Satisfacción del Paciente/legislación & jurisprudencia , Servicio de Psiquiatría en Hospital/legislación & jurisprudencia , Encuestas y Cuestionarios
14.
16.
Nervenarzt ; 88(Suppl 1): 1-29, 2017 Aug.
Artículo en Alemán | MEDLINE | ID: mdl-28776213

RESUMEN

People who have been convicted of a crime due to a severe mental disorder and continue to be dangerous as a result of this disorder may be placed in a forensic psychiatric facility for improvement and safeguarding according to § 63 and § 64 of the German Criminal Code (StGB). In Germany, approximately 9000 patients are treated in clinics for forensic psychiatry and psychotherapy on the basis of § 63 of the StGB and in withdrawal centers on the basis of § 64 StGB. The laws for treatment of patients in forensic commitment are passed by the individual States, with the result that even the basic conditions differ in the individual States. While minimum requirements have already been published for the preparation of expert opinions on liability and legal prognosis, consensus standards for the treatment in forensic psychiatry have not yet been published. Against this background, in 2014 the German Society for Psychiatry and Psychotherapy, Psychosomatics and Neurology (DGPPN) commissioned an interdisciplinary task force to develop professional standards for treatment in forensic psychiatry. Legal, ethical, structural, therapeutic and prognostic standards for forensic psychiatric treatment should be described according to the current state of science. After 3 years of work the results of the interdisciplinary working group were presented in early 2017 and approved by the board of the DGPPN. The standards for the treatment in the forensic psychiatric commitment aim to initiate a discussion in order to standardize the treatment conditions and to establish evidence-based recommendations.


Asunto(s)
Internamiento Obligatorio del Enfermo Mental/legislación & jurisprudencia , Internamiento Obligatorio del Enfermo Mental/normas , Comunicación Interdisciplinaria , Colaboración Intersectorial , Trastornos Mentales/rehabilitación , Programas Nacionales de Salud/legislación & jurisprudencia , Trastornos Relacionados con Sustancias/rehabilitación , Atención Ambulatoria/ética , Atención Ambulatoria/legislación & jurisprudencia , Atención Ambulatoria/normas , Internamiento Obligatorio del Enfermo Mental/ética , Ética Médica , Testimonio de Experto/ética , Testimonio de Experto/legislación & jurisprudencia , Alemania , Humanos , Programas Nacionales de Salud/ética , Admisión del Paciente/legislación & jurisprudencia , Admisión del Paciente/normas , Prisioneros/legislación & jurisprudencia , Prisioneros/psicología , Pronóstico
17.
Artículo en Alemán | MEDLINE | ID: mdl-28752249

RESUMEN

Pedophilia is defined as a persistent or dominating sexual preference for prepubescent children characterized by persistent thoughts, fantasies, urges, sexual arousal and behavior. Less than 50% of all child abusers fulfill the diagnostic criteria and an even smaller part exclusively has a preference for children. Following psychiatric classification systems, pedophilia must be distinguished from child sexual abuse. Outpatient treatment and treatment in forensic psychiatry clinics, sociotherapeutic facilities and in correction facilities are different aspects of prevention. So-called grey area projects (Dunkelfeldprojekte) are special facilities of primary and secondary prevention. The aim is to prevent sexual abuse by reducing and controlling of risk factors.


Asunto(s)
Pedofilia/terapia , Niño , Abuso Sexual Infantil/legislación & jurisprudencia , Abuso Sexual Infantil/prevención & control , Abuso Sexual Infantil/psicología , Abuso Sexual Infantil/terapia , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Fantasía , Femenino , Psiquiatría Forense/legislación & jurisprudencia , Alemania , Humanos , Clasificación Internacional de Enfermedades , Masculino , Admisión del Paciente/legislación & jurisprudencia , Pedofilia/diagnóstico , Pedofilia/prevención & control , Pedofilia/psicología , Prevención Primaria/legislación & jurisprudencia , Prevención Primaria/métodos , Prisiones/legislación & jurisprudencia , Prevención Secundaria/legislación & jurisprudencia , Prevención Secundaria/métodos
19.
Am Surg ; 83(6): 541-546, 2017 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-28637553

RESUMEN

The aim of our study was to assess the impact of helmet legislations on the incidence and the mortality rate of motorcycle collision (MCC)-related traumatic brain injury (TBI) in young adult trauma patients. A 1-year (2011) retrospective analysis was performed of all patients under 21 years old with trauma-related hospitalization using the Nationwide Inpatient Sample database (representing 20% of all in-patient admissions). Patients with MCC were identified using E-codes. States were classified into three groups based on helmet legislations: universal age helmet legislation, <18 years helmet legislation, and <21 years helmet legislation. Outcome measures were the rates of TBI and mortality. Linear regression analysis was used to assess outcomes among the states. A total of 1,165,150 patients with trauma-related hospitalizations across 29 states were reviewed of which, 587 patients with MCC were included. Ten states had universal age legislation; 13 states had age <18 years legislation, and 6 states had age <21 years legislation. There was a lower incidence in the rate of TBI (P = 0.03) in states with universal helmet legislations compared with states with age-restricted helmet legislation. Universal helmet legislations lowered the rate of MCC-related TBI injures by a factor of 2.15 (ß coefficient: 2.15; 95% confidence interval: 0.91-10.18; P = 0.04). States with age-restricted helmet legislations have a higher rate of traumatic brain injury and mortality compared with states with universal helmet legislations. Establishing universal helmet legislations across the states may provide a potential preventive strategy against traumatic brain injury.


Asunto(s)
Lesiones Traumáticas del Encéfalo/mortalidad , Lesiones Traumáticas del Encéfalo/prevención & control , Dispositivos de Protección de la Cabeza , Motocicletas , Admisión del Paciente , Accidentes de Tránsito/mortalidad , Adolescente , Bases de Datos Factuales , Femenino , Dispositivos de Protección de la Cabeza/estadística & datos numéricos , Humanos , Incidencia , Masculino , Motocicletas/legislación & jurisprudencia , Motocicletas/estadística & datos numéricos , Admisión del Paciente/legislación & jurisprudencia , Admisión del Paciente/estadística & datos numéricos , Estudios Retrospectivos , Estados Unidos/epidemiología , Adulto Joven
20.
Arch Pediatr ; 24(3): 265-272, 2017 Mar.
Artículo en Francés | MEDLINE | ID: mdl-28131555

RESUMEN

Pediatric intensive care units (PICUs), whose accessibility to parents raises controversy, often operate under their own rules. Patients are under critical and unstable conditions, often in a life-threatening situation. In this context, the communication with the parents and their participation in the unit may be difficult. Information is a legal, deontological, and moral duty for caregivers, confirmed by the parents' needs. But the ability to enforce them is a challenge, and there is a gap between the theory and the reality. The communication between the parents and the physicians starts at the admission of the child with a family conference. According to the Société de réanimation de langue française (SRLF), the effectiveness of the communication is based on three criteria: the patients' comprehension, their satisfaction and their anxiety and depression. It has been shown that comprehension depends on multiple factors, related on the parents, the physicians, and the medical condition of the child. Regarding the parents' participation in the organization of the service, the parents' presence is becoming an important factor. In the PICU, the parents' status has evolved. They become a member of the care team, as a partner. The best interest of the child is always discussed with the parents, as the person knowing the best their child. This partnership gives them a responsibility, which is complementary to the physician's one, but does not substitute it.


Asunto(s)
Acceso a la Información/legislación & jurisprudencia , Comunicación , Unidades de Cuidado Intensivo Pediátrico/legislación & jurisprudencia , Padres/educación , Padres/psicología , Relaciones Profesional-Familia , Adaptación Psicológica , Ansiedad/psicología , Niño , Comprensión , Enfermería de la Familia/legislación & jurisprudencia , Francia , Alfabetización en Salud , Humanos , Comunicación Interdisciplinaria , Colaboración Intersectorial , Relaciones Enfermero-Paciente , Admisión del Paciente/legislación & jurisprudencia , Pronóstico , Resucitación/psicología , Encuestas y Cuestionarios
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