Tijdschrift voor psychiatrie最新文献_第2页

[Psychiatric nursing or mental health nursing: a Flemish Job advertising analysis]. 精神科护理或心理健康护理：佛兰德招聘广告分析

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

K Desmet, E Deproost, G Lemmens, O Cools, J De Fruyt, S Verhaeghe

{"title":"[Psychiatric nursing or mental health nursing: a Flemish Job advertising analysis].","authors":"K Desmet, E Deproost, G Lemmens, O Cools, J De Fruyt, S Verhaeghe","doi":"","DOIUrl":"","url":null,"abstract":"Background: The reforms within the Flemish bachelor’s nursing education have led to the elimination of specialization tracks, including psychiatry. This has created uncertainty about the preparation of nurses for work in mental health care, partly due to vague definitions and overlap between the terms ‘psychiatric nursing’ and ‘mental health nursing’.Aim: To gain insight into how Flemish healthcare organizations recruit nurses following the elimination of the psychiatric specialization.Method: Content analysis of job advertisements from the largest centralized official job database in Flanders, using terms ‘mental health care nurse’ and ‘psychiatric nurse’ without additional filter criteria.Results: A total of 204 relevant job advertisements were identified. The majority of job postings (54.3%) were from psychiatric and general hospitals. 20.6% of vacancies were open to both nurses and other care profiles. Only three job postings (1.5%) explicitly used the job title ‘mental health nurse’.Conclusion: The analysis shows a discrepancy between the evolution towards mental health nursing and job titles used in advertisements. Specialized nursing education remains essential for addressing complex mental health care needs. The ‘new’ mental health nursing can provide a base for high-quality and future-proof healthcare education programs, while preserving valuable historical elements of psychiatric nursing.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 5","pages":"268-272"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Stabilized clozapine users: specialized health care recommended]. [稳定的氯氮平使用者：建议专门的医疗保健]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

A Jongkind, L M Gielen, P Martens, K P Grootens

{"title":"[Stabilized clozapine users: specialized health care recommended].","authors":"A Jongkind, L M Gielen, P Martens, K P Grootens","doi":"","DOIUrl":"","url":null,"abstract":"Background: In the current health care landscape, efforts are being made to identify the best treatment setting for ‘stable clozapine users’ when they no longer require intensive multidisciplinary outpatient treatment, such as a FACT team. Knowledge about their prognosis is essential for this.Aim: The aim of this research is to gain insight into treatment that stable clozapine users receive within a specially established clozapine outpatient clinic. This understanding will help formulate recommendations regarding the organization of care for this group.Method: A retrospective analysis of medical records and data was conducted on a group of patients defined as ‘stable clozapine users’ who were being treated at the clozapine outpatient clinic.Results: A total of 62 patients were treated at the clozapine outpatient clinic; 60 were included in our study. Of these, 77% required more treatment than initially estimated, indicating an underestimation of their care needs. Intensive treatment was provided to 60% of the patients, and 33% of them experienced a one-time or repeated escalation of care. Additionally, 15% of the patients were admitted to a hospital at least once. Notably, 23% of the patients were (re)referred to a FACT team.Conclusion: The findings indicate that stable clozapine users remain vulnerable, and most patients will require intensive treatment again at some point. To prevent discontinuity of treatment, we recommend keeping stabilized patients with psychosis under treatment in specialized mental health care teams, rather than referring them back to primary care.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 5","pages":"263-267"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Fahr's disease and mania: case report and literature review]. [Fahr病与躁狂：病例报告及文献复习]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

B Daems, K Noppe, P Sienaert

引用次数: 0

[Hoe kunnen we het tekort aan psychofarmaca oplossen?] 我们如何解决精神药物的短缺?]

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

T K Birkenhäger

引用次数: 0

[How to advise an ADHD-patient about pregnancy? Exploring hospital psychiatrists' practices]. 如何建议adhd患者怀孕？探索医院精神科医生的做法]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

J A Godschalx-Dekker, G Douwes, D D C A Henriquez, J J S Kooij, R C Dullemond

{"title":"[How to advise an ADHD-patient about pregnancy? Exploring hospital psychiatrists' practices].","authors":"J A Godschalx-Dekker, G Douwes, D D C A Henriquez, J J S Kooij, R C Dullemond","doi":"","DOIUrl":"","url":null,"abstract":"Background: Currently, consensus on the use of medication for ADHD during pregnancy and lactation is lacking, complicating treatment decisions for fertile patients with ADHD.Aim: To describe approaches present in guidelines, literature, and local practices of hospital psychiatrists concerning counseling ADHD-patients on pregnancy.Method: From March to September 2024, a literature search was complemented by a questionnaire. Twelve hospital psychiatrists were questioned about how they advised patients with ADHD about pregnancy. We collected information on the use of medication, comorbidity, best practices and non-pharmacotherapeutic interventions.Results: Most hospital psychiatrists advised against stimulants during pregnancy. Alternatives were bupropion, non-medicinal interventions, antidepressants and antipsychotics. Most hospital psychiatrists advised against the use of stimulants or bupropion during lactation. Some hospitals used shared-decision making.Conclusion: The advice given to women with ADHD about pregnancy differs between psychiatrists. The description of their practices and considerations provided valuable insights for psychiatrists. Further research should follow on (non)medicinal alternatives for stimulants and the development of multidisciplinary guidelines.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"369-374"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Autism spectrum disorders in adolescent sexually inappropriate behavior and sex offending]. [青少年性不当行为与性侵犯中的自闭症谱系障碍]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

L Jeuniaux, D Van West

{"title":"[Autism spectrum disorders in adolescent sexually inappropriate behavior and sex offending].","authors":"L Jeuniaux, D Van West","doi":"","DOIUrl":"","url":null,"abstract":"Background: Autism spectrum disorders (ASD) in juvenile sex offenders present a unique challenge in forensic child and adolescent psychiatry. Specific characteristics of ASD, such as deficits in social cognition and obsessions, may theoretically contribute to sexually inappropriate behavior (SIB), however this has been scarcely studied in adolescents. Research on normative sexual development in adolescents with ASD shows no significant differences compared to neurotypical peers.Aim: To synthesize the available evidence of the relationship between ASD, SIB and sexual offending in adolescents.Method: A systematic search was conducted across multiple databases, yielding 16 relevant studies.Results: There is evidence suggesting a higher prevalence of ASD among juvenile sexual offenders and preference for specific sexual offenses. Few specific therapeutic approaches have been identified for this group. Although there is some consensus regarding the use of cognitive behavioral therapy (CBT) and multisystemic therapy (MST), there is limited evidence supporting pharmacological interventions. Research into prevention and risk factors is limited.Conclusion: There is a need for further research into the prevalence, prevention, the role of parental knowledge, family dynamics, and how specific developmental skills in ASD may contribute to the emergence of problematic sexual behavior. No specific treatment strategy is currently favored for this population. We highlight several factors that warrant further investigation regarding the relationship between ASD and SIB or sexual delinquency.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 5","pages":"280-286"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The position of the emergency ward within the emergency psychiatric services]. [急症病房在急症精神科的地位]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

J W van Staveren, T Fassaert, J Zoeteman, J G Lijmer, M A S de Wit

{"title":"[The position of the emergency ward within the emergency psychiatric services].","authors":"J W van Staveren, T Fassaert, J Zoeteman, J G Lijmer, M A S de Wit","doi":"","DOIUrl":"","url":null,"abstract":"Background: In the Netherlands, acute care for psychiatric emergencies is primarily provided at mental health crisis centres. In cases where there is insufficient capacity or when an evaluation of acute physical symptoms by first responders deems it necessary, patients are directed to the emergency ward. However, information on the role of the emergency ward is required to organize an efficient care chain.Method: To better understand the role of the emergency ward within the emergency psychiatric services, a quantitative analysis of data recorded on psychiatric emergencies from 2018 to 2020 at the largest emergency ward in Amsterdam was conducted, along with a qualitative study on the experiences of healthcare professionals.Results: On average, 53 patients were admitted monthly to the emergency ward, with 44% (n = 131) displaying both acute psychiatric and physical comorbidity. Within this group, 69% (n = 90) exhibited self-injurious behaviour. Additionally, 9% (n = 26) of patients were admitted due to insufficient capacity at mental health crisis centres. Detailed analysis revealed that this group included cases of drug-induced psychosis (12%; n = 3) and substance-use related psychiatric emergencies (23%; n = 6). Interviews conducted for the qualitative analysis indicated that a prolonged length of stay in the emergency ward and limited admission capacity were viewed as significant factors affecting the efficiency of emergency psychiatric services.Conclusions: The findings suggest that the actual function of the emergency ward differs from its presumed primary role as a facility for acute physical care within the psychiatric services. A possible solution to reduce patient movements and the risk of overlooking somatic needs in psychiatric patients, is to centralize both the mental health crisis centre and the hospital emergency ward in one location.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"380-386"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The psychiatrist and the new nursing legislation in Belgium: clarifying roles and responsibilities]. [精神科医生和比利时新的护理立法：明确角色和责任]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

N Martens, H De Backer, R Ieven, M Destoop, S Malfait

{"title":"[The psychiatrist and the new nursing legislation in Belgium: clarifying roles and responsibilities].","authors":"N Martens, H De Backer, R Ieven, M Destoop, S Malfait","doi":"","DOIUrl":"","url":null,"abstract":"Background: In May 2024, the Belgian federal parliament approved new legislation focused on task differentiation and the introduction of a care ladder within the nursing profession. This law recognizes nursing as an autonomous and interprofessional discipline and introduces new professional roles such as the basic nurse, the nurse responsible for general care (VVAZ), the nurse specialist, and the nurse researcher.Aim: To explore the potential impact of this reform on the role of the psychiatrist within Belgian mental health care.Method: Reflective essay.Results: Within mental health care, the new legislation leads to a redistribution of tasks: nurses gain greater autonomy and responsibility, while psychiatrists can focus more on complex or acute situations. The reform aims to increase efficiency and better align care with patients’ needs.Conclusion: While the reform offers opportunities for broader care integration, it also requires clear agreements and appropriate training. Especially in mental health care, where care is often complex and multidisciplinary, strong collaboration between physicians, nurses, and other professionals is essential to ensure high-quality care.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"399-402"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[On the future of prediction modeling for precision psychiatry]. [精准精神病学预测模型的未来]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

E van Dellen

引用次数: 0

[External referrals within the Wvggz at a mental health institution in the Rijnmond region]. [Wvggz内部的外部转诊到Rijnmond地区的一家精神卫生机构]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

Y Fransen, M A V van Verschuer, N J M van Beveren

{"title":"[External referrals within the Wvggz at a mental health institution in the Rijnmond region].","authors":"Y Fransen, M A V van Verschuer, N J M van Beveren","doi":"","DOIUrl":"","url":null,"abstract":"Background: Since 2020, the Compulsory Mental Healthcare Act (Wvggz) has been in effect in the Netherlands. This law provides the option for ‘compulsory care’ for individuals experiencing severe harm as a result of a mental disorder. A new element introduced by this law is the ‘external referral’ (externe aanwijzing). This allows anyone to raise concerns about a citizen’s mental condition and report it. This can lead to an external referral of a medical director (GD), initiated by the public prosecutor. The GD is responsible for determining whether care is needed in the context of a care authorization or ‘zorgmachtiging’ (ZM).Aim: To analyse the process of the ‘externe aanwijzing’ within Antes.Methods: This observational study is conducted at Antes, an institution for mental healthcare, where 128 externe aanwijzingen were analyzed during the period of 2020-2021.Results: The majority (60%) of the analyzed externe aanwijzingen resulted in a positive recommendation for a ZM by the GD. Externe aanwijzingen through a forensic route more frequently led to a ZM (68%) compared to those through the municipality (39%). Nearly all patients with a ZM received active treatment.Conclusion: Individuals with a forensic externe aanwijzing more commonly receive a ZM directly as a result of this process. The externe aanwijzing proves to be a valuable means of engaging individuals averse to care, including voluntarily. This study provides insights into the process of externe aanwijzingen and care authorizations within Antes.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 3","pages":"169-174"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0