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Timothy P. Lang PsyD LP ; James E. Rohrer PhD ; Pierre A. Rioux MD DFAPA 《The Journal of rural health》2009,25(3):309-313
ABSTRACT: Context: Access to psychiatric services, particularly inpatient psychiatric care, is limited and lacks comprehensiveness in rural areas. Purpose: The purpose of this study was to evaluate the impact on readmission rates of a multifaceted inpatient psychiatry approach (MIPA) offered in a rural hospital. Methods: Readmissions within 30 days of patients who were admitted to an inpatient psychiatric unit using a MIPA model of care (N = 147) were compared to readmissions of a comparison group of patients who were admitted prior to the adoption of the MIPA (N = 37). Case mix differences were adjusted using multiple logistic regression analysis (N = 184). Findings: Patients treated in the MIPA model of care had lower odds of readmission within 30 days (odds ratio 0.14, 95% CI 0.02-0.87, P < .03). Conclusions: Effective inpatient psychiatric care can be provided in rural hospitals. 相似文献
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Susanna Every‐Palmer FRANZCP Johann Brink FCPsych FRCPC Tor P. Chern DFD MMed Wing‐Kit Choi MRCPsych MSocSci FHKCPsych FHKAM Jerome Goh Hern‐Yee MMed MSc Bob Green MSW PhD Ed Heffernan BSc MPH FRANZCP Sarah B. Johnson MD MSc Margarita Kachaeva MD Dr Med Sc Akihiro Shiina MD PhD David Walker MD MBA DFAPA Kevin Wu MD LL M PhD Xiaoping Wang MD PhD Graham Mellsop MD FRANZCP 《Asia-Pacific psychiatry》2014,6(1):1-17
This article was commissioned to collate and review forensic psychiatric services provided in a number of key Pacific Rim locations in the hope that it will assist in future dialogue about service development. The Board of the Pacific Rim College of Psychiatrists identified experts in forensic psychiatry from Australia, Canada, China, Hong Kong, Japan, Russia, Singapore, Taiwan, and the US. Each contributor provided an account of issues in their jurisdiction, including mental health services to mentally disordered offenders in prison, competence or fitness to stand trial, legal insanity as a defense at trial, diminished responsibility, and special forensic services available, including forensic hospitals and community forensic mental health services. Responses have been collated and are presented topic by topic and country by country within the body of this review. The availability of mental health screening and psychiatric in‐reach or forensic liaison services within prisons differed considerably between countries, as did provisioning of community forensic mental health and rehabilitation services. Diversion of mentally disordered offenders to forensic, state, or hybrid hospitals was common. Legal constructs of criminal responsibility (insanity defense) and fitness to stand trial (“disability”) are almost universally recognized, although variably used. Disparities between unmet needs and resourcing available were common themes. The legislative differences between contributing countries with respect to the mental health law and criminal law relating to mentally disordered offenders are relatively subtle. The major differences lie in operationalizing and resourcing forensic services. 相似文献
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Homelessness and housing crises among individuals accessing services within a Canadian emergency department 下载免费PDF全文
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Approaches to suicide prevention: Ideas and models presented by Japanese and international early career psychiatrists 下载免费PDF全文
Satona Saito MD Toru Horinouchi MD Yukako Nakagami MD Toshitaka Ii MD Siddarth Sarkar MD Angela McSweeney MB BCh BAO Leo Yoshida MB BCh BAO Daruj Aniwattanapong MD Li‐Min Xin MD Nusa Segrec MD PhD Svetlin V. Varbanov MD Syed F. Shams MD Kouta Suzuki MD Melissa Paulita V. Mariano MD Sophie C. Tomlin MBBCh MRCPsych Kazuki Kuno MD Robert Freedman MD Michelle B. Riba MD MS DFAPA FAPM Tsuyoshi Akiyama MD PhD Chiaki Kawanishi MD PhD 《Psychiatry and clinical neurosciences》2018,72(9):741-741
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