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(searched for: 10.29328/journal.apmh.1001029)
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Archives of Psychiatry and Mental Health, Volume 5, pp 014-017; https://doi.org/10.29328/journal.apmh.1001029

Abstract:
The fact that general practitioner (GP) or psychiatrist understands the psychosocial effects of prescribing on the doctor-patient relationship is as important, if not more so, than knowing pharmacology. Any prescription of drugs modifies the doctor-patient relationship. Drugs, especially psychotropic drugs, act on symptoms and change thoughts, feelings, and behaviors; they can create both physical and psychological dependency; they can discourage a deep search for real solutions, both on the part of the doctor and the patient; they can affect the doctor’s access to the patient and the problem will be out of their reach. Psychotropic drugs can make the effect of the doctor in himself as a drug more difficult, favor an insignificant or problematic or little human relational context, where the GP/psychiatrist does not delve into the true meaning of the symptoms, and the patient tends not to get involved, to make an emotional withdrawal, to be passive before the prescribed drug, and can result in the chronification and structuring of functional symptoms that become organic, with lack of cooperation of the doctor and the patient, and paradoxically with over-compliance or therapeutic discontinuity and the lack of pharmacological adherence, absences to appointments or delays or cancellations of visits, and the denial of responsibility of both the doctor and the patient.
, Andrea McIlvena
Journal of Psychosocial Nursing and Mental Health Services, Volume 53, pp 17-21; https://doi.org/10.3928/02793695-20150622-03

Abstract:
Aging Matters Paul Sadler, MAPS, CCLP; Andrea McIlvena, RN, CMHN Community Aged Intensive Recovery (CAIR) programs are an integral part of Aged Persons Mental Health Services (APMHS); however, no study has investigated whether a rural-based intensive program benefits older clients with severe mental illness. The current sample comprised 119 older adults who were being managed by a CAIR program from July 2011 to June 2013. Three key results were found: (a) approximately three quarters of clients admitted to the CAIR program remained treated in the community; (b) the program assisted in significantly reducing the level of psychiatric symptom severity from CAIR entry to CAIR exit; and (c) the APMHS team with the CAIR program had a lower psychiatric inpatient rate compared to the APMHS team without the program. The current study highlights the importance of delivering effective rural-based CAIR programs to older adults experiencing severe mental illness. [Journal of Psychosocial Nursing and Mental Health Services, 53(9), 17–21.] Mr. Sadler is Clinical Psychologist, and Ms. McIlvena is Mental Health Nurse and Team Leader, Latrobe Regional Hospital’s South West Gippsland Aged Persons Mental Health Service, Wonthaggi Hospital, Wonthaggi, Victoria, Australia. Ms. McIlvena is the team leader of the Community Aged Intensive Recovery (CAIR) program, and Paul Sadler consults within Latrobe Regional Hospital’s Aged Persons Mental Health Service. The authors acknowledge the late Associate Professor Bruce Osborne (Psychogeriatrician) who pioneered and introduced the CAIR program to rural Victoria, Australia. The authors thank Latrobe Regional Hospital for supporting the CAIR program as well as the clients and their carers for participating. The authors also acknowledge the skill and dedication of each mental health practitioner who works in community rural aged psychiatry. Address correspondence to Paul Sadler, MAPS, CCLP, Clinical Psychologist, Latrobe Regional Hospital’s South West Aged Persons Mental Health Service, Wonthaggi Hospital, Graham Street, Wonthaggi, Victoria, Australia, 3995; e-mail: [email protected] 10.3928/02793695-20150622-03 Community Aged Intensive Recovery (CAIR) programs are an integral part of Aged Persons Mental Health Services (APMHS); however, no study has investigated whether a rural-based intensive program benefits older clients with severe mental illness. The current sample comprised 119 older adults who were being managed by a CAIR program from July 2011 to June 2013. Three key results were found: (a) approximately three quarters of clients admitted to the CAIR program remained treated in the community; (b) the program assisted in significantly reducing the level of psychiatric symptom severity from CAIR entry to CAIR exit; and (c) the APMHS team with the CAIR program had a lower psychiatric inpatient rate compared to the APMHS team without the program. The current study highlights the importance of delivering effective rural-based CAIR programs to older adults experiencing severe mental illness. [Journal of Psychosocial Nursing and Mental Health Services, 53(9), 17–21.] Mr. Sadler is Clinical Psychologist, and Ms. McIlvena is Mental Health Nurse and Team Leader, Latrobe Regional Hospital’s South West Gippsland Aged Persons Mental Health Service, Wonthaggi Hospital, Wonthaggi, Victoria, Australia. Ms. McIlvena is the team leader of the Community Aged Intensive Recovery (CAIR) program, and Paul Sadler consults within Latrobe Regional Hospital’s Aged Persons Mental Health Service. The authors acknowledge the late Associate Professor Bruce Osborne (Psychogeriatrician) who pioneered and introduced the CAIR program to rural Victoria, Australia. The authors thank Latrobe Regional Hospital for supporting the CAIR program as well as the clients and their carers for participating. The authors also acknowledge the skill and dedication of each mental health practitioner who works in community rural aged psychiatry. Address correspondence to Paul Sadler, MAPS, CCLP, Clinical Psychologist, Latrobe Regional Hospital’s South West Aged Persons Mental Health Service, Wonthaggi Hospital, Graham Street, Wonthaggi, Victoria, Australia, 3995; e-mail: [email protected]
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