IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE最新文献_第5页

Gender-based provisions in mental health legislation: a review of English language jurisdictions. 心理健康立法中基于性别的规定：对英语司法管辖区的回顾。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-11-06 DOI: 10.1017/ipm.2024.48

Fiona Hoare, Niamh Murphy, Ann O'Donoghue, Siobhan Allen, Richard M Duffy

{"title":"Gender-based provisions in mental health legislation: a review of English language jurisdictions.","authors":"Fiona Hoare, Niamh Murphy, Ann O'Donoghue, Siobhan Allen, Richard M Duffy","doi":"10.1017/ipm.2024.48","DOIUrl":"https://doi.org/10.1017/ipm.2024.48","url":null,"abstract":"Objectives: Legislation is a powerful tool for facilitating mental healthcare. Gender is an important social determinant of physical and mental health. Many jurisdictions are in the process of revising their mental health law, to align with human rights commitments. Consideration of gender in these revisions could enhance the mental healthcare received by women, transgender and non-binary individuals.Aim: This paper examines gender-based provisions in mental health law published in English.Methods: Countries that use English as an official language were identified. Jurisdictions in these countries with stand-alone mental health laws were included. Legislation was reviewed for gender-specific provisions.Results: Seventy-five countries were evaluated; 71 jurisdictions were included. Thirty-eight jurisdictions had 88 gender-specific provisions. These addressed ten key areas, including: general gender-based protections, female representation on boards and review panels, protections during searching and restraint, gender separated facilities, protections in relation to parenting, fertility, sterilisation and termination. Fiji, Ghana, India, and the Australian jurisdictions had the highest number of gender-specific laws. However, gender-specific provisions are highly heterogeneous and are drafted from a cisnormative perspective and fail to adequately address the specific needs of individuals outside of that framework.Conclusion: Gender-specific provisions can enhance the protections afforded by mental health law. However, as legislation can be a blunt instrument, careful consideration must be given to potential unintended consequences. During revisions of mental health law consideration should be given to gender-specific provisions and legislation must be inclusive of individuals identifying as transgender, non-binary and other genders.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584681","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

Mental health assessment rooms within Irish hospital emergency departments before and after COVID-19 restrictions. COVID-19 限制前后爱尔兰医院急诊科的精神健康评估室。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-24 DOI: 10.1017/ipm.2024.42

Sally Ann Lovejoy, Katerina Kavalidou, Rhona Jennings, Vincent Russell

引用次数: 0

Survey of GP registrars' training experience and confidence in managing children and adolescents with mental health conditions in primary care. 调查全科医生注册人员的培训经验以及在初级保健中管理患有精神疾病的儿童和青少年的信心。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-18 DOI: 10.1017/ipm.2024.25

Eimear O Reilly, Anne Doherty, Walter Cullen

{"title":"Survey of GP registrars' training experience and confidence in managing children and adolescents with mental health conditions in primary care.","authors":"Eimear O Reilly, Anne Doherty, Walter Cullen","doi":"10.1017/ipm.2024.25","DOIUrl":"https://doi.org/10.1017/ipm.2024.25","url":null,"abstract":"Objectives: The aim of this study is to assess General Practitioner (GP) trainees' training experience, and confidence in assessing and managing children and adolescents with common mental health conditions in primary care in Ireland.Methods: An online anonymous questionnaire was distributed to third and fourth year GP registrars enrolled in the Irish College of General Practitioners training schemes. The online questionnaire evaluated participants' training experiences and confidence levels in key areas of child and adolescent mental health in primary care.Results: Sixty participants completed the survey out of 406, yielding a response rate of 14.8%. The majority (88%) reported no formal training or experience working in Child and Adolescent Mental Healthcare Services (CAMHS) during their GP training scheme. Responses indicated that many participants rated their competency, skills, and knowledge in essential areas of Child and Adolescent Mental Health as needing improvement. Similarly, their awareness of referral pathways and specialty services was below expectations, with poor perceived access to services. A large proportion (91.7%) expressed a definite need for further training in child and adolescent mental health disorders.Conclusion: The results highlight the need for enhanced training and support for GP trainees in the field of Child and Adolescent Mental Health, ensuring their ability to effectively and confidently address these common issues in primary care.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477403","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

Etizolam and Irish drug poisoning deaths. 依替唑仑与爱尔兰药物中毒死亡事件。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-18 DOI: 10.1017/ipm.2024.38

Eamon Keenan, Cathy Kelleher, Suzi Lyons, Nicola Sweeney

引用次数: 0

Use of restrictive practices in approved mental health centres in Ireland: consideration of five years of national data. 爱尔兰经批准的精神健康中心使用限制性做法的情况：对五年全国数据的审议。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-16 DOI: 10.1017/ipm.2024.32

James V Lucey, Gary Kiernan, John Farrelly, Aisling Downey, Pawel Stepala

引用次数: 0

A qualitative study exploring mental health professionals' perspectives, opinions, and attitudes on the state of service users' rights. 一项定性研究，探讨心理健康专业人员对服务使用者权利状况的观点、看法和态度。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-15 DOI: 10.1017/ipm.2024.36

Francisco José Eiroa-Orosa, Cristina Pradillo-Caimari

{"title":"A qualitative study exploring mental health professionals' perspectives, opinions, and attitudes on the state of service users' rights.","authors":"Francisco José Eiroa-Orosa, Cristina Pradillo-Caimari","doi":"10.1017/ipm.2024.36","DOIUrl":"https://doi.org/10.1017/ipm.2024.36","url":null,"abstract":"Background: The rights of mental health service users are a subject of profound debate. In this article, we aim to examine mental health professionals' perspectives, opinions, and attitudes on the state of service users' rights.Methods: We conducted a thematic analysis of eleven focus groups involving mental health professionals.Results: Through this process, we identified two main meta-themes that shed light on the challenges faced by mental health service users: 'Transforming the therapeutic relationship' and 'Societal determinants of service users' rights'. Within the former meta-theme, we identified the following themes: 'Diversifying mental health knowledge', 'Risk-protection tensions', and 'Being (ir)responsible'. Within the latter meta-theme we identified 'Determinants inside the clinics' and 'Determinants outside the clinics.'Conclusions: Reflecting on these themes could potentially encourage new strategies to support professionals in overcoming the subjective barriers that prevent their adherence to rights-based mental health care models.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477401","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

Stalking and autism. 跟踪和自闭症

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-08 DOI: 10.1017/ipm.2024.30

Valerie Murphy, Nilda M Laboy, Kaitlyn Peretti, Sarah E Abbott

引用次数: 0

Obsessive-compulsive disorder with compulsive exercise leading to intensive care treatment in an adolescent male: a case report. 一名青少年男性因强迫性运动导致强迫症而接受重症监护治疗：病例报告。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-08 DOI: 10.1017/ipm.2024.29

Maeve Haran, Michael O' Brien, Yvonne Duane, Neil Adamson, Fiona McNicholas

{"title":"Obsessive-compulsive disorder with compulsive exercise leading to intensive care treatment in an adolescent male: a case report.","authors":"Maeve Haran, Michael O' Brien, Yvonne Duane, Neil Adamson, Fiona McNicholas","doi":"10.1017/ipm.2024.29","DOIUrl":"https://doi.org/10.1017/ipm.2024.29","url":null,"abstract":"Obsessive-compulsive disorder (OCD) and eating disorders (ED) are compulsive disorders with overlapping symptoms. However, weight loss and over-exercise causing secondary medical complications are rarely seen in OCD. We report the case of a 15-year-old male who presented with atypical symptoms of OCD leading to severe medical compromise. Covid-19 related team sport restrictions led to compulsive exercise associated with intrusive thoughts. The onset of stress fractures limited exercise ability, prompting compensatory food restriction. Bradycardia, hypothermia and hypoglycaemia resulted from severe malnourishment and weight loss in the context of OCD. His weight was 85.8% of ideal body weight on admission, reflective of a weight 10-15 kg lower than his premorbid weight. During admission, he developed exercise-induced rhabdomyolysis with significantly elevated creatinine kinase and required intensive care unit treatment. Psychotropic medication included lamotrigine, olanzapine and high dose fluoxetine alongside cognitive-behavioural therapy. Medical stabilisation and weight restoration allowed discharge to an outpatient Child and Adolescent Mental Health Service. This atypical case of OCD highlights the potentially life-threatening risks associated with excessive exercise and malnutrition. This paper highlights the complexities of treatment in a patient who cannot adhere to bed rest and the differential diagnoses of anorexia nervosa, orthorexia nervosa and exercise addiction.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-6"},"PeriodicalIF":1.8,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394158","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

Evolution: the bridge between 'biological' and 'social' psychiatry. 进化："生物 "与 "社会 "精神病学之间的桥梁。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-04 DOI: 10.1017/ipm.2024.31

Annie Swanepoel, Riadh Abed, Gurjot Brar, Paul St John-Smith, Henry O'Connell

引用次数: 0

Psychiatrists' views on clozapine prescribing in Ireland. 精神科医生对爱尔兰氯氮平处方的看法。

IF 1.8

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2024-10-02 DOI: 10.1017/ipm.2024.35

A Grant, R McManus, H Belay, M Mahon, F Murad, B O' Donoghue, J Lally

{"title":"Psychiatrists' views on clozapine prescribing in Ireland.","authors":"A Grant, R McManus, H Belay, M Mahon, F Murad, B O' Donoghue, J Lally","doi":"10.1017/ipm.2024.35","DOIUrl":"https://doi.org/10.1017/ipm.2024.35","url":null,"abstract":"Introduction: Despite proven effectiveness in refractory schizophrenia, clozapine remains underutilised, and it is important to understand potential reasons for this. This study's aim was to examine in a National sample of Consultant Psychiatrists their knowledge of, attitudes and perceived barriers to clozapine use.Methods: A novel questionnaire was designed and distributed by email to 275 Consultant Psychiatrists in Republic of Ireland.Results: Twenty-eight percent (n = 77) completed the survey, with 55% of respondents practicing for 15 or more years. Clinicians expressed confidence in managing clozapine treatment and side effects and were well aware of clozapine's clinical effectiveness and guideline-based use. A majority indicated insufficient experience managing rechallenge and half expressed insufficient experience managing adverse events. Perceived patient factors were highlighted as barriers with 69% of respondents reporting patients' concern about effectiveness and 50% regarding tolerability. Sixty-four percent (n = 40) indicated that a specialised/tertiary clozapine service would facilitate initiation, with 57% (n = 36) reporting less frequent blood monitoring would aid clozapine prescribing. A majority identified that access to dedicated staff (81%, n = 51) and dedicated day hospital services (84%, n = 53) would facilitate community initiation.Conclusion: Consultants are familiar with clozapine use and related guidelines. Dedicated staff and facilities for clozapine use is one identified structural change to enhance clozapine prescribing in Ireland. Tertiary service or clinical advice service would assist in clozapine rechallenge cases or in managing significant adverse events. More structured patient education regarding clozapine effectiveness and professional development programmes focused on managing side effects and rechallenge may promote clozapine use.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362206","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