Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-27DOI: 10.1016/S2215-0366(24)00094-4
Judith Dams
{"title":"Health economics of psychological interventions in PTSD.","authors":"Judith Dams","doi":"10.1016/S2215-0366(24)00094-4","DOIUrl":"10.1016/S2215-0366(24)00094-4","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-26DOI: 10.1016/S2215-0366(24)00040-3
Emma E McGinty, Margarita Alegria, Rinad S Beidas, Jeffrey Braithwaite, Lola Kola, Douglas L Leslie, Nathalie Moise, Bernardo Mueller, Harold A Pincus, Rahul Shidhaye, Kosali Simon, Sara J Singer, Elizabeth A Stuart, Matthew D Eisenberg
{"title":"The Lancet Psychiatry Commission: transforming mental health implementation research.","authors":"Emma E McGinty, Margarita Alegria, Rinad S Beidas, Jeffrey Braithwaite, Lola Kola, Douglas L Leslie, Nathalie Moise, Bernardo Mueller, Harold A Pincus, Rahul Shidhaye, Kosali Simon, Sara J Singer, Elizabeth A Stuart, Matthew D Eisenberg","doi":"10.1016/S2215-0366(24)00040-3","DOIUrl":"10.1016/S2215-0366(24)00040-3","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-26DOI: 10.1016/S2215-0366(24)00073-7
Claire Henderson
{"title":"Implementation research in mental health: meanings of the term real world.","authors":"Claire Henderson","doi":"10.1016/S2215-0366(24)00073-7","DOIUrl":"10.1016/S2215-0366(24)00073-7","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-06DOI: 10.1016/S2215-0366(24)00039-7
Anne-Marthe Rustad Indregard, Hans Martin Nussle, Milada Hagen, Per Olav Vandvik, Martin Tesli, Jakov Gather, Nikolaj Kunøe
{"title":"Open-door policy versus treatment-as-usual in urban psychiatric inpatient wards: a pragmatic, randomised controlled, non-inferiority trial in Norway.","authors":"Anne-Marthe Rustad Indregard, Hans Martin Nussle, Milada Hagen, Per Olav Vandvik, Martin Tesli, Jakov Gather, Nikolaj Kunøe","doi":"10.1016/S2215-0366(24)00039-7","DOIUrl":"10.1016/S2215-0366(24)00039-7","url":null,"abstract":"<p><strong>Background: </strong>Open-door policy is a recommended framework to reduce coercion in psychiatric wards. However, existing observational data might not fully capture potential increases in harm and use of coercion associated with open-door policies. In this first randomised controlled trial, we compared coercive practices in open-door policy and treatment-as-usual wards in an urban hospital setting. We hypothesised that the open-door policy would be non-inferior to treatment-as-usual on the proportion of patients exposed to coercive measures.</p><p><strong>Methods: </strong>We conducted a pragmatic, randomised controlled, non-inferiority trial comparing two open-door policy wards and three treatment-as-usual acute psychiatric wards at Lovisenberg Diaconal Hospital in Oslo, Norway. An exemption from the consent requirements enabled inclusion and random allocation of all patients admitted to these wards using an open list (2:3 ratio) administrated by a team of ward nurses. The primary outcome was the proportion of patient stays with one or more coercive measures, including involuntary medication, isolation or seclusion, and physical and mechanical restraints. The non-inferiority margin was set to 15%. Primary and safety analyses were assessed using the intention-to-treat population. The trial is registered with ISRCTN registry and is complete, ISRCTN16876467.</p><p><strong>Findings: </strong>Between Feb 10, 2021, and Feb 1, 2022, we randomly assigned 556 patients to either open-door policy wards (n=245; mean age 41·6 [SD 14·5] years; 119 [49%] male; 126 [51%] female; and 180 [73%] admitted to the ward involuntarily) or treatment-as-usual wards (n=311; mean age 41·6 [4·3] years; 172 [55%] male and 138 [45%] female; 233 [75%] admitted involuntarily). Data on race and ethnicity were not collected. The open-door policy was non-inferior to treatment-as-usual on all outcomes: the proportion of patient stays with exposure to coercion was 65 (26·5%) in open-door policy wards and 104 (33·4%) in treatment-as-usual wards (risk difference 6·9%; 95% CI -0·7 to 14·5), with a similar trend for specific measures of coercion. Reported incidents of violence against staff were 0·15 per patient stay in open-door policy wards and 0·18 in treatment-as-usual wards. There were no suicides during the randomised controlled trial period.</p><p><strong>Interpretation: </strong>The open-door policy could be safely implemented without increased use of coercive measures. Our findings underscore the need for more reliable and relevant randomised trials to investigate how a complex intervention, such as open-door policy, can be efficiently implemented across health-care systems and contexts.</p><p><strong>Funding: </strong>South-Eastern Norway Regional Health Authority and The Research Council of Norway.</p>","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-26DOI: 10.1016/S2215-0366(24)00102-0
Tony Kirby
{"title":"Judy Bass: a global outlook on mental health.","authors":"Tony Kirby","doi":"10.1016/S2215-0366(24)00102-0","DOIUrl":"10.1016/S2215-0366(24)00102-0","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-06DOI: 10.1016/S2215-0366(24)00062-2
Timur Liwinski, Christian G Huber, Undine E Lang
{"title":"A milestone in patient-centred care.","authors":"Timur Liwinski, Christian G Huber, Undine E Lang","doi":"10.1016/S2215-0366(24)00062-2","DOIUrl":"10.1016/S2215-0366(24)00062-2","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140068831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-26DOI: 10.1016/S2215-0366(24)00090-7
Milton L Wainberg, Lidia Gouveia, Karen McKinnon
{"title":"Generating better implementation evidence to improve mental health care everywhere.","authors":"Milton L Wainberg, Lidia Gouveia, Karen McKinnon","doi":"10.1016/S2215-0366(24)00090-7","DOIUrl":"10.1016/S2215-0366(24)00090-7","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-26DOI: 10.1016/S2215-0366(24)00095-6
Eliut Rivera-Segarra, Franco Mascayano, Ana Florence, July Caballero, Leopoldo J Cabassa
{"title":"Mental health implementation research in Latin America and the Caribbean.","authors":"Eliut Rivera-Segarra, Franco Mascayano, Ana Florence, July Caballero, Leopoldo J Cabassa","doi":"10.1016/S2215-0366(24)00095-6","DOIUrl":"10.1016/S2215-0366(24)00095-6","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet PsychiatryPub Date : 2024-05-01Epub Date: 2024-03-18DOI: 10.1016/S2215-0366(24)00071-3
Pim Cuijpers, Niall Boyce, Mark van Ommeren
{"title":"Why treatment manuals of psychological interventions should be freely available.","authors":"Pim Cuijpers, Niall Boyce, Mark van Ommeren","doi":"10.1016/S2215-0366(24)00071-3","DOIUrl":"10.1016/S2215-0366(24)00071-3","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}