Psychiatric Nonadherence

Psychiatric Nonadherence PDF Author: Victor Fornari
Publisher: Springer
ISBN: 303012665X
Category : Medical
Languages : en
Pages : 228

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Book Description
This book explores medical nonadherence to treatment and management of psychiatric disorders across the lifespan. Leading experts in the field, specializing in a range of mental health problems describe the impact of nonadherence in the treatment of children, adolescents, transition age youths, adults, and older adults. The book eloquently articulates the key elements of effective physicians and offers clinical pearls on professionalism, empathy, and the doctor-patient relationship—a key component to solving treatment nonadherence. This volume focuses on solutions for improved clinical outcomes, including communication skills, empathy and building trust, motivational interviewing techniques and the use of technology. Psychiatric Nonadherence is an excellent resource for all clinicians who care for individuals with psychiatric illness. This timely reference will provide guidance to enhance effective treatment adherence for a wide array of medical practitioners, including child and adolescent, adult forensic, and geriatric psychiatrists, addiction medicine specialists, primary care physicians, psychologists and nurses.

Psychiatric Nonadherence

Psychiatric Nonadherence PDF Author: Victor Fornari
Publisher: Springer
ISBN: 303012665X
Category : Medical
Languages : en
Pages : 228

Get Book Here

Book Description
This book explores medical nonadherence to treatment and management of psychiatric disorders across the lifespan. Leading experts in the field, specializing in a range of mental health problems describe the impact of nonadherence in the treatment of children, adolescents, transition age youths, adults, and older adults. The book eloquently articulates the key elements of effective physicians and offers clinical pearls on professionalism, empathy, and the doctor-patient relationship—a key component to solving treatment nonadherence. This volume focuses on solutions for improved clinical outcomes, including communication skills, empathy and building trust, motivational interviewing techniques and the use of technology. Psychiatric Nonadherence is an excellent resource for all clinicians who care for individuals with psychiatric illness. This timely reference will provide guidance to enhance effective treatment adherence for a wide array of medical practitioners, including child and adolescent, adult forensic, and geriatric psychiatrists, addiction medicine specialists, primary care physicians, psychologists and nurses.

Incidence and Factors Associated with Medication Nonadherence in Patients with Mental Illness

Incidence and Factors Associated with Medication Nonadherence in Patients with Mental Illness PDF Author: Jisha Jojo
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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Book Description
Background: In spite of the progress made in the treatment of psychiatric disorders during the last few decades, nonadherence continues to be a frequent phenomenon, often associated with potentially severe clinical consequences and increased health-care costs. There are numerous factors associated with medication nonadherence in patients with mental illness. The aim of the study was to determine the incidence and factors associated with medication nonadherence among psychiatric outpatients. Materials and Methods: A crosssectional study was carried out in the outpatient psychiatric department of an Indian tertiary care private hospital over a period of 1 year. Patients aged 18 years and above who presented with mental illness as diagnosed by the International Classification of Diseases (ICD)-10 and who were receiving at least one psychotropic medication for at least 1 month were included in the study. Medication adherence was assessed using the Medication Adherence Rating Scale (MARS). Results: Of the 400 patients, 172 (43%) were nonadherent to their prescribed medications. There is a statistically significant association between the education (P = 0.001), number of drugs (P = 0.002), family income (P = 0.013), and nonadherence. Among the 172 patients, 33.5 % were nonadherent to their therapy due to patient-related factors followed by drug-related factors (32%) and disease-related factors (31%). Conclusion: The overall incidence of medication nonadherence in patients with mental illness was 43%. Numerous factors contributed to medication nonadherence. Strategies need to be developed and implemented to enhance medication adherence, and thereby achieve a better therapeutic outcome in patients with mental illness.

Acculturation

Acculturation PDF Author: Kevin M. Chun
Publisher: Amer Psychological Assn
ISBN: 9781557989208
Category : Medical
Languages : en
Pages : 260

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Book Description
Annotation An anthology of 11 studies synthesize research findings on acculturation that have been reported in specialist journals on the ethnic groups studied, or on theoretical and empirical issues, and so not readily available to psychologists in general. They discuss developments in theory, measurement, and applied research; individual and family processes; and acculturation, psychosocial adjustment, and health. Most of the contributors are research psychologists in the US. Annotation c. Book News, Inc., Portland, OR (booknews.com).

Using Central Neuromodulators and Psychological Therapies to Manage Patients with Disorders of Gut-Brain Interaction

Using Central Neuromodulators and Psychological Therapies to Manage Patients with Disorders of Gut-Brain Interaction PDF Author: W. Harley Sobin
Publisher: Springer
ISBN: 3030182185
Category : Medical
Languages : en
Pages : 186

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Book Description
This guide provides a concise overview of central neuromodulators and psychological therapies, and their use in managing patients with disorders of gut-brain interaction. The text demonstrates how central neuromodulators can help disordered gut function and reviews choices of drugs for different disorders, along with dosages and recommendations on their use. The book also outlines the use of cognitive behavioral therapy and exposure therapy in treating these patients, and presents a tutorial on how internal medicine physicians should approach the use of psychiatric medications. Written by experts in the field, Using Central Neuromodulators and Psychological Therapies to Manage Patients with Disorders of Gut-Brain Interaction: A Clinical Guide is a valuable resource for clinicians and practitioners on how to treat and manage patients afflicted with disorders of gut-brain interaction.

Adherence to Mental Health Treatment

Adherence to Mental Health Treatment PDF Author: Peter Buckley
Publisher:
ISBN: 9780195384444
Category : Patient compliance
Languages : en
Pages : 0

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Book Description
Patients' failure to complete a simple prescription course presents a tremendous public health problem and a considerable challenge for practicing clinicians. For those with chronic mental illnesses, non-adherence is an even greater problem than in other patient populations and substantially lowers the possibility of improvement or recovery. Additionally, adherence to treatment is further undermined by impairments in insight that often accompany mental illness. Much has been written about non-adherence across medical specialties. Yet, the topic of non-adherence in psychiatric patients is so common and complex that it merits review in its own right. Using the most up-to-date research available, this book summarizes the current knowledge concerning non-adherence in mental illness, presenting concise, practical information on such topics as the reasons behind medication non-adherence, detection of non-adherence, and the pharmacological and non-pharmacological options available to clinicians to manage non-adherence. The authors review the effectiveness of psycho-education, brief counseling, compliance therapy, cognitive adaptive strategies, reminder electronic monitoring strategies, family therapy, peer support and recovery, and assertive community treatment (ACT), as well as assess the legal issues around patient adherence, including outpatient commitment and Kendra's law. Importantly, the text also addresses the ever evolving role of psychiatrists in managing adherence, focusing on the rapid advances in pharmacology, in light of the new and broadening recovery concept for mental illness. The data is presented in a "ready-to-use" manner, utilizing algorithms, diagrams, tables, and figures to convey helpful information to clinicians in order to improve all aspects of psychiatric patient adherence.

Medication Nonadherence Among Psychiatric Inmates at New York State Office of Mental Health Satellite Units

Medication Nonadherence Among Psychiatric Inmates at New York State Office of Mental Health Satellite Units PDF Author: Neil Hochman
Publisher:
ISBN: 9781109619362
Category :
Languages : en
Pages : 103

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Book Description
Medication nonadherence, or noncompliance, is a pervasive problem with inpatient and outpatient psychiatric populations. Noncompliance is a persistent detriment to effective treatment of patients with psychiatric and health disorders. It is especially a challenge for clinicians in civil and state correctional settings where psychiatric indications are the most common form of treatment. the need for further research with focus on patient characteristics including diagnoses and in particular, gender differences, has been noted in prior literature and served as an impetus for the current study. In this research, a post hoc method was undertaken to examine archived medication compliance data for a 30-day period for 105 male and 163 female psychiatric outpatients from two maximum-security New York State Department of Corrections facilities. A significant gender effect was observed with male patients demonstrating a higher level of medication compliance then their female counterparts. No significant differences in medication compliance within or between designated DSM-IV categories were observed. the findings of the present study were discussed in terms of the implications for clinical or program practice with a focus on the importance of accurate diagnosis. Recommendations for further research were made, including consideration of survey research. Future investigators should pay closer attention to the psychiatric medication concerns of female detainees with mental disorders.

Violence and Mental Disorder

Violence and Mental Disorder PDF Author: John Monahan
Publisher: University of Chicago Press
ISBN: 9780226534060
Category : Medical
Languages : en
Pages : 338

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Book Description
This study reviews two decades of research on mental disorder and presents empirical and theoretical work which aims to determine more accurate predictions of violent behaviour.

Non-Pharmacological Interventions for Schizophrenia: How Much Can Be Achieved and How?

Non-Pharmacological Interventions for Schizophrenia: How Much Can Be Achieved and How? PDF Author: Christina Andreou
Publisher: Frontiers Media SA
ISBN: 2889450090
Category : Schizophrenia
Languages : en
Pages : 96

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Book Description
The introduction of antipsychotic agents in the 1950’s substantially improved the treatment of schizophrenia and other psychotic disorders. However, clinical and functional outcomes are still far less than optimal for patients, and have not improved in recent years despite the development of several new antipsychotics. Efficacy rates are further compromised by medication non-adherence, which has been reported to affect more than half of patients. In response to these issues, several non-pharmacological interventions have been developed for the treatment of schizophrenia, such as cognitive behavioral therapy, cognitive remediation, social cognition training and metacognitive approaches. Although these interventions have produced promising results, there is still much controversy regarding their usefulness and applicability in clinical practice. A major impeding factor for their dissemination is possibly a lack of sufficient evidence regarding their specific indications, mechanisms of action, adverse effects, but also practical issues concerning the interpretability of respective clinical studies, such as the choice of outcome variables and control of confounding factors. The present Research Topic includes original research articles and reviews addressing these issues.

Asthma Adherence

Asthma Adherence PDF Author:
Publisher:
ISBN: 9781876122041
Category : Asthma
Languages : en
Pages : 24

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Book Description


The Wiley Handbook of Healthcare Treatment Engagement

The Wiley Handbook of Healthcare Treatment Engagement PDF Author: Andrew Hadler
Publisher: John Wiley & Sons
ISBN: 1119129524
Category : Medical
Languages : en
Pages : 550

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Book Description
Against a global backdrop of problematic adherence to medical treatment, this volume addresses and provides practical solutions to the simple question: “Why don’t patients take treatments that could save their lives?” The Wiley handbook of Healthcare Treatment Engagement offers a guide to the theory, research and clinical practice of promoting patient engagement in healthcare treatment at individual, organizational and systems levels. The concept of treatment engagement, as explained within the text, promotes a broader view than the related concept of treatment adherence. Treatment engagement encompasses more readily the lifestyle factors which may impact healthcare outcomes as much as medication-taking, as well as practical, economic and cultural factors which may determine access to treatment. Over a span of 32 chapters, an international panel of expert authors address this far-reaching and fascinating field, describing a broad range of evidence-based approaches which stand to improve clinical services and treatment outcomes, as well as the experience of users of healthcare service and practitioners alike. This comprehensive volume adopts an interdisciplinary approach to offer an understanding of the factors governing our healthcare systems and the motivations and behaviors of patients, clinicians and organizations. Presented in a user-friendly format for quick reference, the text first supports the reader’s understanding by exploring background topics such as the considerable impact of sub-optimal treatment adherence on healthcare outcomes, before describing practical clinical approaches to promote engagement in treatment, including chapters referring to specific patient populations. The text recognizes the support which may be required throughout the depth of each healthcare organization to promote patient engagement, and in the final section of the book, describes approaches to inform the development of healthcare services with which patients will be more likely to seek to engage. This important book: Provides a comprehensive summary of practical approaches developed across a wide range of clinical settings, integrating research findings and clinical literature from a variety of disciplines Introduces and compliments existing approaches to improve communication in healthcare settings and promote patient choice in planning treatment Presents a range of proven clinical solutions that will appeal to those seeking to improve outcomes on a budget Written for health professionals from all disciplines of clinical practice, as well as service planners and policy makers, The Wiley Handbook of Healthcare Treatment Engagement is a comprehensive guide for individual practitioners and organizations alike.